| NPI | 1962665406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONETTA GRAHAM Owner 919-217-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2015-10-30 |